Antiretroviral treatment (ART) refers to the medical interventions and therapies used in the management of retroviral infections, particularly the Human Immunodeficiency Virus (HIV). It encompasses the administration of various medications aiming to suppress the replication of the virus within the body, enhancing immune function and slowing down or preventing the progression of the infection to Acquired Immunodeficiency Syndrome (AIDS).
Antiretroviral therapy typically involves the combination of different antiretroviral drugs, which belong to several classes such as nucleoside reverse transcriptase inhibitors (NRTIs), non-nucleoside reverse transcriptase inhibitors (NNRTIs), protease inhibitors (PIs), integrase inhibitors (INSTIs), and entry inhibitors. These medications work through different mechanisms to target different stages of the viral replication cycle, inhibiting the production of new viral particles, and preventing the virus from entering or integrating into host cells.
The goals of antiretroviral treatment are to reduce the viral load (the amount of virus in the blood), restore the function of the immune system, and prevent or manage opportunistic infections, thereby improving the quality and length of life for individuals living with HIV/AIDS. Adherence to the prescribed ART regimen is crucial as it has a direct impact on treatment effectiveness. Close monitoring of the viral load and CD4 cell count, a measure of immune function, helps guide the adjustment or optimization of the treatment regimen.
While antiretroviral treatment does not cure HIV, it has revolutionized the management of the infection over the past few decades, significantly reducing mortality rates and allowing people with HIV to live longer, healthier lives.
The word "antiretroviral treatment" is derived from the combination of three main components:
1. Anti-: This prefix is derived from the Greek word "anti", meaning "against" or "opposite". It is used in English to indicate opposition or negation of something.
2. Retroviral: This word is a combination of two parts. "Retro" is derived from the Latin word "retro", meaning "backward" or "behind". A "virus" is an infectious agent that replicates within living cells. Retroviruses are a type of RNA virus that can replicate by converting their RNA genome into DNA and integrating it into the host cell's DNA.
3. Treatment: This word is derived from the Old French "traitement", which is a derivative of the verb "traitier" meaning "to treat" or "to deal with".